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JERSHAN ENTERPRISES INC.
NPI 1477400448
Pharmacy - Compounding Pharmacy in Rexburg, ID

Active since March 11, 2026
167 W MAIN ST STE 1, REXBURG, ID 83440(208) 356-4481 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2026, Mar 11, 2026 (2 updates tracked since 2026).

About Jershan Enterprises Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERSHAN ENTERPRISES INC. (NPI 1477400448) is a healthcare organization registered as a compounding pharmacy in Rexburg, Idaho and active in the NPI registry since March 2026. The organization lists Jeramy Randall Neibaur, President, as its authorized official.

NPPES Registry Identity

NPI1477400448
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameJERSHAN ENTERPRISES INC.
Location Address167 W MAIN ST STE 1Rexburg, ID 83440-1826
Mailing Address167 W Main St Ste 1Rexburg, ID 83440-1826 · (208) 356-4481
Phone(208) 356-4481
Organization SubpartNo
Authorized OfficialJeramy Randall NeibaurPresident · (208) 356-4481
Enumeration DateMarch 11, 2026
Last NPPES UpdateMay 3, 20262 updates tracked since enumeration
NPPES CertifiedMay 3, 2026
✔ NPI 1477400448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
167 W MAIN ST STE 1, Rexburg, ID 83440
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERAMY RANDALL NEIBAUR PHARMD
Pharmacist
167 W MAIN ST STE 1
REXBURG, ID 83440
Madison County (208) 356-4481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jershan Enterprises Inc.'s NPI number?

The NPI number for Jershan Enterprises Inc. is 1477400448. It was assigned to this organization in the NPPES registry on March 11, 2026.

Where is Jershan Enterprises Inc. located?

Jershan Enterprises Inc. is located at 167 W Main St Ste 1, Rexburg, ID 83440. The listed phone number is (208) 356-4481.

What is Jershan Enterprises Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Jershan Enterprises Inc. was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.